Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 530 12 4 498 11 4Older people in private nursing homes 1,093 24 2 1,175 26 2Older people receiving home care 2,419 54 4 2,458 54 4Older people in special needs housing 6,299 140.6 2 4,467 98.5 3People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 9,831 216.9 2 11,435 252.3 2For mental health problems/dementia 690 3.3 2 838 4.1 3(aged 18-64)For physical disabilities (aged 18-64) 4,511 21.9 1 5,080 24.6 1For learning disabilities (aged 18-64) 497 2.4 3 578 2.8 3For drug/alcohol abuse problems 196 0.9 2 246 1.2 2(aged 18-64)There is a low rate of older people in residential care but a higher rate in nursing homes than inother authorities. The rate of older people receiving home care is lower than in most otherauthorities and there has been a decrease in the rate in special needs housing, which is nowrelatively low.The Council has acted to shift the balance of care to community-based services by:• increasing home care hours by 23% between 1999 and 2001;• getting the independent sector to provide home care services to the value of £600,000;• almost doubling the amount of sheltered housing for most vulnerable old people;• providing community alarms on request to people over 75 living alone; and• contracting 12 nursing home beds for respite care and short breaks.The Council has carried out best value reviews on community alarms, community meals, homecare, and day care for older people; changes arising from the reviews are driven forward by animplementation group which comprises elected members, senior officers and other stakeholders.The Council is a leading local authority on services for people with learning disabilities andtheir carers. Change has been driven by the Council, with joint working between social work,education and housing and health:• 70 people now have supported living;• 45 people have been helped to get real jobs;• 5 people have direct payments; and• as a result of partnership with Ownership Options some now own their own homes.People with learning disabilities are included and involved at all stages of the planning anddelivery of services. The Partnership in Practice agreement is the only one in Scotland to bewritten in a way that is easily accessible to people with learning disabilities.186